2025-05-14T13:02:23+00:00 2024-06-30 440160260 Forvis Mazars LLP 14221 Dallas Parkway Suite 400 Dallas TX 75254 990 2023-07-01 731008550 Duncan Regional Hospital DUNC 5802518572 PO Box 2000 Duncan OK 73534 Doug Volinski CFO 5802518572 2025-05-14 true Jeanette Verrelli P00742631 9727028262 2025-05-15 2023 2025-03-06 01:10:19Z DRH Health JAY JOHNSON PO Box 2000 Duncan OK 73534 290233453 false X https://www.duncanregional.com X 1976 OK PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. 9 7 1415 93 752476 0 2262769 866997 189050879 210860420 3455765 1124602 1674682 1405705 196444095 214257724 191133 92052 0 0 99817583 104597376 0 0 0 90573146 98063589 190581862 202753017 5862233 11504707 256967676 271028522 61431325 59517026 195536351 211511496 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH false false 163509775 92052 210861586 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. THE HOSPITAL HAD 20,104 INPATIENT DAYS, 4,162 SURGERY VISITS, AND 33,422 EMERGENCY ROOM VISITS DURING THE FISCAL YEAR. 163509775 true false false true false false false false false true false false false true false false true false false false false false false false false true true true false true true false false false false false true false false true false false false false false true true true true false false true 30 0 true 1415 true true true false false false false false false false false false false false X 9 7 false false false false false false true true true false false true true true true true true true true true true OK X DOUG VOLINSKI 5802518554 1407 N WHISENANT DRIVE duncan OK 73533 Brad Scott Vice Chair 2.0 0.0 X X 0 0 0 Harbour Whitaker Chair 2.0 0.0 X X 0 0 0 Nathan Elfrink MD Secretary 2.0 0.0 X X 0 0 0 Greg Shepherd Director 2.0 0.0 X 0 0 0 James McGouran MD Director 2.0 0.0 X 0 0 0 Jari Askins Director 2.0 0.0 X 0 0 0 Miguel Sabedra MD Director 55.0 0.0 X 602622 0 53671 Natalie Cole Director 2.0 0.0 X 0 0 0 Tanya Case Director 2.0 0.0 X 0 0 0 Douglas Volinski VP/CFO 55.0 0.0 X 527683 0 52964 Jay Johnson President & CEO 55.0 0.0 X 848232 0 69709 John P Edgar President of JCH 55.0 0.0 X 235729 0 39448 Kristen J Webb RN MSN VP/Chief Nursing Officer 55.0 0.0 X 458576 0 61061 Michelle Jenean Bivans VP/CHRO 55.0 0.0 X 327093 0 53639 Roger Neal VP/COO 55.0 0.0 X 485575 0 52964 William Stewart MD President of DRH Health Clinics 55.0 0.0 X 539781 0 66369 Brenda Mullins MD Physician - Interventional Cardiology 55.0 0.0 X 747038 0 44972 Danny Giles MD Physician - Orthopedic Surgeon 55.0 0.0 X 1096023 0 49989 Jordan Blake Gibbon Clinic Physician 55.0 0.0 X 702554 0 44519 Juan Adrian Cornejo Physician - Gynecology Surgery 55.0 0.0 X 748543 0 68709 Melissa Marie Hurst MD Physician - Family Practice 55.0 0.0 X 723547 0 60959 8042996 0 718973 128 false true false Qualivis LLC PO Box 674913 Dallas TX 752624913 Nursing Contract Labor 8053624 Emergency Management Midwest PO Box 634850 Cincinnati OH 45263 Physician Services 1518519 Hospital Care Consultants Inc 17304 Preston Road Ste 1400 Dallas TX 75252 Physicians 1200650 Genesis Medical PLLC 2002 12th Ave NW Ste B Ardmore OK 73401 Physicians 1047045 Robinson Medical Resource Group LLC PO Box 205426 Dallas TX 753205426 Nursing Contract Labor 882830 27 657754 209243 866997 NET PATIENT SERVICE REVENUE 621300 185537228 185537228 CONTRACT MEDICAL SERVICES 621300 4562645 4562645 CLINIC RENT REVENUE 531120 906886 906886 JOINT VENTURE INCOME 722320 16008337 16008337 PHARMACY REVENUE 446110 2060035 2060035 1785289 1785289 0 0 210860420 4037836 4037836 0 0 73062495 75975729 -2913234 0 -2913234 -2913234 CAFETERIA 722210 652063 652063 NON-PATIENT LAB 621500 651307 651307 CATERING REVENUE 722320 101169 101169 1166 1166 0 0 1405705 214257724 210861586 752476 1776665 X 92052 92052 0 0 4502115 1731725 2770390 908557 739698 168859 82955466 69828478 13126988 2394211 1898602 495609 8294688 6446703 1847985 5542339 4236688 1305651 184391 184391 444333 444333 457653 457653 23367854 20651940 2715914 0 524054 524054 4249270 1655461 2593809 4917684 4917684 3213719 2623796 589923 467634 402966 64668 26485 26485 986970 986970 9534526 9534526 1448966 1448966 PROVISION FOR BAD DEBTS 14777296 14777296 MEDICAL SUPPLIES 11735022 10338556 1396466 EQUIPMENT RENTAL AND MAINT 9039962 7964208 1075754 PHARMACEUTICALS 7596862 7326758 270104 5090908 3260322 1830586 0 202753017 163509775 39243242 0 12465783 9505379 3740288 2360854 28324569 41546738 45413 0 0 0 885452 1084961 5275023 4980276 3536189 4334274 231320250 143497669 82951583 87822581 112800685 110782890 0 3192732 5211684 96842 28870 3653117 3370015 256967676 271028522 22178338 24234193 9324 8594 35783879 33801236 0 0 675556 297603 2784228 1175400 61431325 59517026 X 180207216 194541563 15329135 16969933 195536351 211511496 256967676 271028522 X 11504707 5075111 -23545 -581128 X false true X true false X false false false false false false false false true 17712 17712 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY DUNCAN REGIONAL HOSPITAL IS A MEMBER OF THE OKLAHOMA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION IN WHICH A PORTION OF THE DUES PAID ARE ATTRIBUTED TO LOBBYING EXPENSES. 1425993 1425993 131029361 72240465 58788896 480903 426030 54873 88811190 67813642 20997548 9572803 3017532 6555271 87822581 DUE TO THIRD PARTY 1175400 1175400 Schedule D, Part X, Line 2 ASC 740 FOOTNOTE MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X true true false false 1 2919 3317545 0 3317545 0.0175 1 13585 32269304 20587529 11681775 0.0616 0 0 0 0.0 2 16504 35586849 20587529 14999320 0.0791 19 1748 118007 0 118007 0.0006 2 660 115972 0 115972 0.0006 0 0 0 0.0 0 0 0 0.0 5 115597 0 115597 0.0006 26 2408 349576 0 349576 0.0018 28 18912 35936425 20587529 15348896 0.0809 0 0.0 1 1628 1628 0.0000 15 2375 95828 95828 0.0005 0 0.0 1 1000 11030 11030 0.0001 2 7409 7409 0.0000 0 0.0 1 241341 241341 0.0013 0 0.0 20 3375 357236 0 357236 0.0019 false 14777296 40912437 39562663 1349774 X true true DRH IMAGING LLC IMAGING CENTER 0.008 0.0002 0.0018 DUNCAN HEALTHCARE REALTY LLC REAL ESTATE 0.0042 0.003 0.0029 2 1 DUNCAN REGIONAL HOSPITAL 1407 WHISENANT DR DUNCAN OK 73533 WWW.DRHHEALTH.ORG 2235 X X X 1 2 JEFFERSON COUNTY HOSPITAL 910 US 81 US 70 WAURIKA OK 73573 https://www.duncanregional.com 2233 X X X 1 1 2 false false true X X X X X X X X X 22 true false true true X HTTPS://WWW.DUNCANREGIONAL.COM/ABOUT-THE-HOSPITAL/COMMUNITY-INVOLVEMENT/ X X true 22 true HTTPS://WWW.DUNCANREGIONAL.COM/ABOUT-THE-HOSPITAL/COMMUNITY-INVOLVEMENT/ false true X 100.0 300.0 X X true true X X X true X HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/ X HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/ X HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility 1, 1 Facility 1, 1 - DUNCAN REGIONAL HOSPITAL. THE CHNA FOR DUNCAN REGIONAL HOSPITAL WAS PERFORMED DURING THE MONTHS OF NOVEMBER AND DECEMBER 2021 AND JANUARY 2022.SIMILARLY, TO THE PRIOR CHNA, A COMMITTEE WAS FORMED THAT COMPRISED OF INDIVIDUALS WHO ENCOMPASSED THE DIVERSITY OF STEPHENS AND JEFFERSON COUNTIES. THE HOSPITAL PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY THE PATHWAYS TO A HEALTHY STEPHENS COUNTY COMMITTEE. THE INDIVIDUALS IN THIS COMMITTEE INCLUDED, BUT WERE NOT LIMITED TO, INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: DRH HOSPITAL, PRIMARY CARE PROVIDERS, BEHAVIORAL HEALTH PROVIDERS, STEPHENS AND JEFFERSON COUNTY HEALTH DEPARTMENTS, CAMERON UNIVERSITY, RED RIVER TECHNOLOGY CENTER, DUNCAN CHAMBER OF COMMERCE, CITY OFFICIALS OF DUNCAN, MARLOW, COMANCHE, BRAY-DOYLE, FIRST NATIONAL BANK OF VELMA, FIRST BAPTIST CHURCH MARLOW, DUNCAN POLICE DEPARTMENT AND VARIOUS OTHERS. ADDITIONAL INPUT CAME FROM SURVEYS, FOCUS GROUPS, AND COMMUNITY INFORMANT INTERVIEWS. Schedule H, Part V, Section B, Line 5 Facility 1, 2 Facility 1, 2 - Jefferson County Hospital. THE CHNA FOR JEFFERSON COUNTY HOSPITAL WAS PERFORMED IN THE FALL OF 2021 AND JANUARY 2022 AND A NEW CHIP COMPLETED THAT BEGAN JULY 1, 2022. COMMUNITY MEMBERS WHO PARTICIPATED IN THESE MEETINGS INCLUDED INDIVIDUALS FROM JEFFERSON COUNTY HEALTH DEPARTMENT, JEFFERSON COUNTY PUBLIC SCHOOLS, LOCAL BANKERS, LOCAL BUSINESS OWNERS, RETIRED INDIVIDUALS, WAURIKA NEWSPAPER, A LOCAL PASTOR AND THE WAURIKA CHAMBER OF COMMERCE. ADDITIONAL INPUT CAME FROM SURVEYS THAT WERE MADE AVAILABLE IN BOTH PAPER AND WEB FORMAT. Schedule H, Part V, Section B, Line 6b Facility 1, 1 Facility 1, 1 - Duncan Regional Hospital. IN PARTNERSHIP WITH THE STEPHENS COUNTY HEALTH DEPARTMENT, PATHWAYS TO A HEALTHY STEPHENS COUNTY, UNITED WAY OF STEPHENS COUNTY, WICHITA MOUNTAINS PREVENTION NETWORK, PUBLIC SCHOOLS WITHIN THE COUNTY AND NUMEROUS OTHER ORGANIZATIONS, DUNCAN REGIONAL HOSPITAL PARTICIPATED WITH THESE ORGANIZATIONS TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR STEPHENS COUNTY AND JEFFERSON COUNTY OKLAHOMA, IN THE FALL 2021 THROUGH JANUARY 2022. Schedule H, Part V, Section B, Line 6b Facility 1, 2 Facility 1, 2 - Jefferson County Hospital. THE CHNA FOR JEFFERSON COUNTY HOSPITAL WAS CONDUCTED WITH THE JEFFERSON COUNTY HEALTH DEPARTMENT. JEFFERSON COUNTY HEALTH DEPARTMENT WORKED CLOSELY WITH THE HOSPITAL AND PATHWAYS TO DEVELOP AND ANALYZE SURVEYS, AND GATHER LOCAL HEALTH DATA AND DEVELOP THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR 2022-2025. Schedule H, Part V, Section B, Line 7 Facility 1, 1 Facility 1, 1 - DUNCAN REGIONAL HOSPITAL & Jefferson County Hospital. THE CHNA/CHIP REPORT IS PRINTED AND PUT IN WAITING ROOMS AND OTHER PLACES IN THE HOSPITAL. Schedule H, Part V, Section B, Line 11 Facility 1, 1 Facility 1, 1 - DUNCAN REGIONAL HOSPITAL & Jefferson County Hospital. THROUGH CONDUCTING THE CHNA, 3 BROAD HEALTH PRIORITIES WERE IDENTIFIED FOR THE COMMUNITIES. THESE NEEDS WERE: - BEHAVIORAL HEALTH/SUBSTANCE USE/ABUSE - HEALTHY LIVING (HEART DISEASE, PHYSICAL ACTIVITY, HEALTHY FOODS, CANCER AWARENESS/EDUCATION) - SAFETY/INJURY PREVENTION THE IMPLEMENTATION STRATEGY PRIORITIZED THE ITEMS LISTED ABOVE TO BE ADDRESSED IN THE HEALTH IMPROVEMENT PLAN. MENTAL HEALTH, HEALTHY LIVING/CANCER EDUCATION AND SAFETY/INJURY PREVENTION WERE CHOSEN BASED ON COMMUNITY HEALTH DATA AND IDENTIFIABLE GAPS IN AVAILABLE CARE AND EDUCATION SERVICES. IT WAS DETERMINED THAT THESE THREE ISSUES WOULD ULTIMATELY HAVE THE GREATEST IMPACT ON THE COMMUNITY'S OVERALL HEALTH WHILE ALSO TAKING INTO ACCOUNT THE HOSPITAL'S AVAILABLE RESOURCES. IN THE MOST RECENT CHNA, THE THREE PRIORITIES WERE IDENTIFIED AS: 1. BEHAVIORAL HEALTH/SUBSTANCE ABUSE: - BEHAVIORAL HEALTH COMMITTEE MEETS MONTHLY THE SECOND WEDNESDAY OF THE MONTH AT NOON. COMMITTEE MEETING IS HELD ON THE CAMPUS OF DRH HEALTH. - INCREASE EDUCATION: HANDLE WITH CARE INTRODUCTION AND TRAINING/N.E.A.R. SCIENCE/ACE'S. CO-PRESENTED WITH REPRESENTATIVES FROM THE CHICKASAW NATION TO LOCAL SCHOOLS AND COALITION MEETING. - HOPE RISING OK INITIATIVE WITH FIRST LADY SARAH STITT AND CHAN HELLMAN (ONGOING COLLABORATION) - PLANNING HAS PROGRESSED TROUGH PARTNERSHIP WITH LOCAL AND STATE RESOURCES TO OFFER SUPPORT THROUGH PATHWAYS HOPE CENTERS/FAMILY RESOURCE CENTERS - CONTINUING: PROVIDE UPDATES WITH HOPE NAVIGATORS IN BOTH COUNTIES AS PLANNING FOR FAMILY RESOURCE CENTERS PROGRESSES - PLANNING: SAFE KIDS COALITION - IN PARTNERSHIP WITH SAFE KIDS OKLAHOMA - APPLICATION NOT AVAILBALE YET.PROJECTED TO BE 2024 - DUNCAN HIGH SCHOOL/PATHWAYS YOUTH COALITION (ALCOHOL/TOBACCO/VAPING) - RED RIBBON WEEK ACTIVITIES X 2 COUNTIES. OCTOBER 2022 - PLANNING OF TWO ADDITIONAL SCHOOL YOUTH COALITIONS (JEFFERSON COUNTY AND ONE ADDITIONAL IN STEPHENS COUNTY) RYAN AND MARLOW PUBLIC SCHOOLS HAVE EXPRESSED INTEREST. PARTNERSHIP WITH WMPN AS LEAD FOR YOUTH COALITIONS BASED ON GRANTS AWARDED THORUGH ODMHSAS. - CO-HOST WITH PARTNER, WMPN MULITIPLE DRUG TAKE BACK EVENTS IN BOTH COUNTIES 2. HEALTHY LIVING: - HEALTHY LIVING COMMITTEE MEETS MONTHLY AT 9:00AM AT DRH HEALTH FOUNDATION BOARD ROOM. - WELLNESS WORKS CHALLENGE - MAY 9 - JUNE 24. SEVEN WEEK CHALLENGE OPEN TO GREATER COMMUNITY OF STEPHENS AND JEFFERSON COUNTIES TO FOCUS ON TOBACCO USE PREVENTION, MINDFULNESS, PHYSICAL ACTIVITY, WATER CONSUMPTION, HEALTHY FRUITS/VEGETABLES AND SLEEP. PROMOTED WALKING TRAILS AND FUN FAMILY FRIENDLY RUNNING/WALKING EVENTS. - ANNUAL EVENT: STAMPEDE THE TRAIL - HALF MARATHON AND 5K (PARTNERSHIP WITH DRH HEALTH FOUNDATION) - GRADE SCHOOL COOKING CLASSES - PARTNERING WITH OSU EXT OFFICE TWO-BITE CLUB. TWO BITE CLUB, USDA PROGRAM ENCOURAGED KIDS TO TRY FOODS FROM EACH OF THE FOOD GROUPS BY EATING JUST TWO BITES! - SPRING YOUTH WELLNESS EVENT: SIMMONS CENTER COLLABORATION - ANNUAL EVENT: WOMEN'S HEALTH EVENT / YOUTH AND FAMILIES' HEALTH EVENTS HELD FALL OF 2022 - PROMOTION OF CERTIFIED HEALTHY OKLAHOMA INITIATIVE / EDUCATION / TECHNICAL ASSISTANCE: APPLICATIONS COMPLETED NOV 2021. AWARDS LUNCHEON HELD SPRING (MARCH) 2022 - PROMOTE/EDUCATE ON IMPORTANCE OF IMMUNIZATIONS INCLUDING COVID AND FLU VACCINES. PARTICIPATED WITH PUBLIC HEALTH INST OF OK AND OU RESEARCH CENTER TO HOST SEVERAL COVID 19 TESTING SITES AND OFFER COVID 19 AND FLU SHOTS IN BOTH STEPHENS AND JEFFERSON COUNTIES. - PROMOTE VARIOUS CANCER SCREENING OPPORTUNITIES THROUGH CCSWOK AND COMMUNITY HEALTH FAIR EVENTS. GLOBAL MULTIMEDIA OUTLETS WITHIN DRH HEALTH SYSTEM FOR PATIENTS, FAMILY MEMBERS AND VISITORS. SOCIAL MEDIA OUTLETS TO GREATER COMMUNITY OF STEPHENS AND JEFFERSON COUNTIES. - CANCER: PROMOTED SCREENINGS TO THE COMMUNITY THROUGH FLYERS, SOCIAL MEDIA AND LOCAL PRESS. 3. SAFETY INJURY PREVENTION: - THE SHIP COMMITTEE MEETS THE SECOND TUESDAY OF THE MONTH AT THE DRH HEALTH FOUNDATION BOARD ROOM. - HOST SPRING AND FALL A ONE DAY SAFETY EVENT FOR LOCAL 4TH AND 5TH GRADERS - BOTH COUNTIES; FOCUS ON SAFETY AND UNINTENTIONAL INJURIES (FIRE, BICYCLE, WEATHER, VEHICLE, ATV, DRUGS/ALCOHOL/MARIJUANA) - EDUCATIONAL SOCIAL MEDIA FOCUSED ON K - 12 SCHOOLS - LOCAL MUNICIPAL POLICY REVIEW IN PARTNERSHIP WITH WICHITA MOUNTAINS PREVENTION NETWORK - CO-HOST / SPONSOR OF COMMUNITY BABY SHOWER: EDUCATION FOR NEW PARENTS AND PARENTS TO BE - CAR SEAT SAFETY CHECKS AT SCHOOL / COMMUNITY EVENTS - EXPLORE OPPORTUNITIES TO APPLY FOR A SAFE KIDS COALITION - APPLICATION DID NOT OPEN IN 2022 LOCAL COUNTY HEALTH DEPARTMENT OF STEPHENS AND JEFFERSON COUNTIES, DRH HEALTH, DRH HEALTH FOUNDATION, LOCAL CHAMBER OF COMMERCE, POTTS FAMILY FOUNDATION, EVOLUTION FOUNDATION, WICHITA MOUNTAIN PREVENTION NETWORK, AND PUBLIC HEALTH INSTITUTE OF OKLAHOMA/OU RESEARCH PARTNERS AND SEVERAL SCHOOL DISTRICTS IN BOTH COUNTIES. 18 CANCER CENTER OF SOUTWEST OKLAHOMA LLC 3401 WEST GORE BOULEVARD LAWTON OK 73502 CANCER CENTER DRH IMAGING LLC 1407 N WHISENANT DR DUNCAN OK 73533 IMAGING CENTER DUNCAN FAMILY CARE 1324 N HARVILLE DUNCAN OK 73533 FAMILY PRACTICE DUNCAN FAMILY MEDICINE 2120 W ELK SUITE 2 6 DUNCAN OK 73533 FAMILY PRACTICE & PSYCHIATRY DUNCAN MEDICAL ASSOCIATES 2515 W ELK DUNCAN OK 73533 FAMILY PRACTICE DUNCAN ALLERGY ENT 1401 DUNCAN REGIONAL LOOP DUNCAN OK 73533 OTOLARYNGOLOGY DUNCAN ORTHOPEDICS 2945 W ELK AVE DUNCAN OK 73533 ORTHOPEDICS CHICKASHA OBGYN 2100 W IOWA CHICKASHA OK 73018 OBSTETRICS & GYNECOLOGY DRH HEALTH CHILDREN'S CLINIC 2502 W ELK DUNCAN OK 73533 PEDIATRICS ELGIN FAMILY CARE 8148 STATE HWY 17 ELGIN OK 73532 FAMILY PRACTICE MARLOW FAMILY CARE 501 N 4TH ST MARLOW OK 73055 FAMILY PRACTICE WAURIKA FAMILY CARE 9172 US HWY 70 WAURIKA OK 73573 FAMILY PRACTICE COMANCHE FAMILY CARE 303 N HWY 81 RINGLING OK 73456 FAMILY PRACTICE RYAN FAMILY CARE 1104 6TH ST RYAN OK 73565 FAMILY PRACTICE VELMA FAMILY CARE 404 W MAIN WALTERS OK 73572 FAMILY PRACTICE WALTERS FAMILY CARE 402 N BROADWAY WALTERS OK 73572 FAMILY PRACTICE MILLER EYE CARE 1311 JACKIE RD DUNCAN OK 73533 OPTHAMOLOGY PAVILLION CLINIC 2115 DUNCAN REGIONAL LOOP 100 300 3 01 DUNCAN OK 73533 OBSTETRICS, GYNECOLOGY, INTERNAL MED, PULMONARY, & CARDIOLOGY CLINICS Schedule H, Part I, Line 7 Column F, Percent of Total Expense TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE, TOTALING $14,777,296. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE AMOUNTS REPORTED ON THE TABLE ON PART I, LINE 7 WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM COMPLETING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES FROM THE IRS INSTRUCTIONS. WORKSHEETS 4, 5 and 8 WERE COMPLETED USING THE HOSPITAL'S DIRECT COSTS AND INCOME STATEMENT. Schedule H, Part II Community Building Activities DUNCAN REGIONAL HOSPITAL ENCOURAGES ITS LEADERSHIP TEAM MEMBERS TO PARTICIPATE IN LOCAL NOT-FOR-PROFIT AGENCIES. LEADERS FROM DRH SERVE ON VARIOUS BOARDS WITHIN THE COUNTY INCLUDING BUT NOT LIMITED TO THE FOLLOWING: ROTARY, KIWANIS, LIONS CLUB, SIMMONS CENTER, SAFE CENTER ENHANCEMENT TRUST AUTHORITY, STEPHENS COUNTY HEALTH DEPARTMENT, LEADERSHIP DUNCAN PROGRAM AND ALSO THE LOANED EXECUTIVE PROGRAM THROUGH UNITED WAY. EMPLOYEES PARTICIPATE IN VARIOUS HEALTH EVENTS OFFERED TO THE COMMUNITIES OF STEPHENS AND JEFFERSON COUNTIES SUCH AS THE DOUGLAS SR CENTER HEALTH FAIR, JEFFERSON COUNTY HEALTH FAIR, LADIES FALL HEALTH EVENT, STAMPEDE THE TRAIL, AND WALK TO REMEMBER. THEY ALSO PROVIDE FREE BLOOD PRESSURE/GLUCOSE SCREENINGS AT SENIOR CENTERS AND NURSING HOMES. WE HAVE SOME PHYSICIANS AND NURSES THAT ALSO VOLUNTEER AT THE COMPASSION CLINIC IN DUNCAN. THE HOSPITAL ENCOURAGES PARTICIPATION BY COMPENSATING THE TEAM MEMBERS WHILE THEY ARE PERFORMING THIS WORK OUTSIDE OF THE HOSPITAL. WORKFORCE DEVELOPMENT COSTS REPRESENT THE COSTS OF MAINTAINING A BUILDING USED BY A STATE UNIVERSITY TO EDUCATE NURSES. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT IS DETERMINED BY EVALUATING THE COLLECTIBILITY OF THE SELF-PAY BALANCES BASED ON THE AGING ACCOUNTS RECEIVABLES BALANCE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. BAD DEBT EXPENSE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THIS IS UNCOMPENSATED HEALTHCARE PROVIDED TO RESIDENTS OF THE COMMUNITY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote NOT APPLICABLE DUE TO ADOPTION OF ASU 2014-09 TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE ORGANIZATION UTILIZES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED UPON MEDICAID OR MEDICARE DAYS TO TOTAL DAYS, AND THE ANCILLARY PORTION IS APPORTIONED BASED UPON PROGRAM CHARGES TO TOTAL CHARGES. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IN SUPPORT OF ITS MISSION, THE HOSPITAL VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED MEDICALLY INDIGENT IN ACCORDANCE WITH THE HOSPITAL'S WRITTEN CHARITY CARE CRITERIA. NO FURTHER COLLECTION EFFORTS ARE MADE. Schedule H, Part V, Section B, Line 16a FAP website 1 - DUNCAN REGIONAL HOSPITAL: Line 16a URL: HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/; 1 - JEFFERSON COUNTY HOSPITAL: Line 16a URL: HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website 1 - DUNCAN REGIONAL HOSPITAL: Line 16b URL: HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/; 1 - JEFFERSON COUNTY HOSPITAL: Line 16b URL: HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website 1 - DUNCAN REGIONAL HOSPITAL: Line 16c URL: HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/; 1 - JEFFERSON COUNTY HOSPITAL: Line 16c URL: HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/; Schedule H, Part VI, Line 2 Needs assessment THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ON GOING BASIS, AND EVERY THREE YEARS, THROUGH INVOLVEMENT WITH COMMUNITY PARTNERS AND SURVEYS WITH PHYSICIANS. THE HOSPITAL WILL UNDERGO THE REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOP A COMMUNITY HEALTH IMPLEMENTATION PLAN UNDER THE 501R REQUIREMENTS BY THE REQUIRED TIME. ALSO, PATHWAYS TO A HEALTHY LIVING, A COUNTY HEALTH IMPROVEMENT ORGANIZATION HOLDS MONTHLY COMMUNITY PARTNER MEETINGS VIA WEBEX TO STAY UP TO DATE ON THE NEEDS OF THE COMMUNITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance DUNCAN REGIONAL HOSPITAL PROVIDES MANY OPPORTUNITIES FOR PATIENT EDUCATION ON FINANCIAL ASSISTANCE. THE PROGRAMS ARE OUTLINED ON THE HOSPITAL'S WEBSITE, BROCHURES ARE AVAILABLE AT EVERY REGISTRATION POINT, PRE-ADMISSION LETTERS ARE PROVIDED TO SURGERY PATIENTS THAT CONTAIN FINANCIAL ASSISTANCE INFORMATION AND APPLICATIONS ARE GIVEN TO UNINSURED PATIENTS. Schedule H, Part VI, Line 4 Community information DUNCAN REGIONAL HOSPITAL IS ACTIVELY DELIVERING CARE TO THE STEPHENS COUNTY AREA. ACCORDING TO THE 2010 CENSUS, STEPHENS COUNTY IS A RURAL COUNTY WITH A POPULATION OF 45,048. THIS INCLUDES THE CITY OF DUNCAN WHERE THE HOSPITAL IS LOCATED WITH A POPULATION OF 23,431 RESIDENTS. THE SECOND MOST POPULATED AREA IS MARLOW WITH A POPULATION OF 5,000. THE MEDIAN AGE OF THE POPULATION IS 40.6 YEARS OLD WITH APPROXIMATELY ONE QUARTER OF THE POPULATION UNDER THE AGE OF 19. THROUGH JEFFERSON COUNTY HOSPITAL, DUNCAN IS ALSO ACTIVELY DELIVERING CARE TO THE JEFFERSON COUNTY AREA. THE ESTIMATED POPULATION OF THE COUNTY IS 6,377 WITH A MEDIAN AGE OF 41.6 YEARS OLD. APPROXIMATELY 39.3% OF THE COUNTY'S ADULT POPULATION SUFFERS FROM OBESITY RESULTING IN $2,740 IN ADDITIONAL MEDICAL COSTS PER PERSON AGED 18 & OVER. THE HOSPITAL HAS AN AVERAGE OF 95 DISCHARGES FOR PATIENTS WITH HEART DISEASE AND 12 DISCHARGES FOR PATIENTS WITH DIABETES. Schedule H, Part VI, Line 5 Promotion of community health Compassionate and exceptional care is delivered to our patients every day. Whether it is financial assistance for medical care for the uninsured or underinsured, health education classes and support groups, or time spent serving on community boards, employees at Duncan Regional Hospital give back to improve the health of our communities. To remain connected with our communities, employees serve as board representatives on several chambers of commerce, area economic organizations, and various nonprofits, including Gabriel's House After School Program, Safe Center Domestic Violence Shelter, Rotary, Kiwanis, Lions Club, Simmons Center, Stephens County Health Department, Beautiful Day, Leadership Duncan, and United Way. Duncan Regional Hospital funds the salary of the Executive Director of Pathways to a Healthier You (Pathways), which is responsible for facilitating, along with the County Health Department, the Community Health Needs Assessment and the Community Health Improvement Plan process. The Executive Director oversees the day-to-day operations of Pathways and the implementation of community improvement programs in Jefferson and Stephens County. In partnership with the Oklahoma State Department of Health, Duncan Regional Hospital participates in the Certified Healthy Oklahoma Initiative. Through one-on-one education sessions, over 50 entities, including local businesses, schools, congregations, and early childhood centers, were certified for demonstrating a commitment to supporting healthy choices through environmental and policy change. Duncan Regional Hospital is committed to keeping families healthy, safe, and informed through multifaceted outreach approaches focusing on community education, unintentional injury prevention, children's health and wellness, and legislative advocacy. In 2023 and 2024, the Pathways Safety and Injury Committee, with partners from law enforcement, fire departments, Safe Kids Oklahoma, Oklahoma Sheriff Department, local TV weather personnel, and the Oklahoma National Guard, educated more than 800 fourth and fifth-grade students through interactive safety events. Realizing the pandemic affected our communities physically and mentally, the Pathways Healthy Living Committee established the "Smile Today" phone line. Children from Gabriel's House After School Program and Duncan Little Theatre recorded messages designed to encourage and provide hope for callers. At the end of each message, individuals who need additional help are encouraged to call the 988 Suicide/Crises helpline for one-on-one support. The Jefferson County Coalition hosts "Teen Con," an all-day conference for 6th and 9th graders. At Teen Con, they learn the myths vs. facts about substance use, healthy relationships, and the harmful effects of vaping and hear stories of prevention from recovering addicts. Workshops are presented by Define Your Direction, Lighthouse Behavioral Health Center, the Oklahoma National Guard Counterdrug Task Force, and the Wichita Mountains Prevention Network. Duncan Regional Hospital, with partners including DRH Health Foundation, Pathways, Health Department, Cancer Centers of Southwest Oklahoma, Sooner Success, Oklahoma State University Extension, and Wichita Mountains Prevention Network, hosts area health fairs. Free skin cancer screenings, breast exams, glucose and blood pressure readings, and educational and community resources are offered. Pathways established the Garden-Fresh diabetes program. In partnership with Think Ability Community Garden, participants enroll in the one-year program and receive free fresh vegetables and fruits once a week, along with recipes and tips on eating healthily. Quarterly classes with the Duncan Regional Hospital Diabetes Educator offer cooking and exercise demonstrations. In partnership with the Arthritis Foundation, Pathways has implemented the Walk with Ease Program. This free, community-based physical activity and self-management education program focuses on walking, health education, stretching, strengthening exercises, and motivational strategies. With partners from Sooner Success and the Oklahoma State University Extension, Pathways has implemented the USDA program "Two Bite Club" into an area elementary school. The program encourages children to try food from each food group. Our partners have also incorporated Tai Chi and positive affirmations in their lessons. Pathways, in partnership with the DRH Health Foundation, participates in the annual Stampede the Trail 5k/Half Marathon (Stephens County), Jingle Jog 5k (Jefferson County), and a virtual race called "Runnin' with our Peeps 5k". To provide a safe place to dispose of expired and unused medications, Pathways partners with Wichita Mountain Prevention Network and Marie Detty Youth and Family Services to host "Take Back" events. Community members can bring their old medications to a designated area for disposal and receive community resource education at the same time. Pathways hosts Community Baby Showers in both Jefferson and Stephens County to address the needs of pregnant and young parents. Sooner Success, DRH Health Children's Clinic, Pediatric Rehabilitation, Women's Health, Health Department, and Volunteers of America are a few of the partners for this event. Participants receive parenting education, breastfeeding and safe sleep resources, car seat safety checks, and contacts with additional community resources. true Beautiful Day Foundation 45 N 9th St Suite 213 DUNCAN OK 73533 464630628 501(c)(3) 49098 FMV Food Community Support Duncan Community Residence PO BOX 1474 DUNCAN OK 73534 237451608 501(c)(3) 26871 FMV Food Community Support Stephens County Health and Healing Inc 804 West Walnut Duncan OK 73533 823831611 501(c)(3) 5443 FMV Food Gillispie Day Treatment Program 3 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE HOSPITAL REQUESTS AND RECEIVES PERIODIC REPORTS TO ENSURE THE GRANT FUNDS ARE BEING USED FOR THEIR INTENDED PURPOSE. X true true X X X X false true false false false false false true false Miguel Sabedra MD Director 599533 0 0 0 3089 0 36500 0 17171 0 656293 0 0 0 Jay Johnson President & CEO 530308 0 148572 0 169352 0 36500 0 33209 0 917941 0 0 0 Douglas Volinski VP/CFO 332295 0 67833 0 127555 0 36500 0 16464 0 580647 0 0 0 William Stewart MD President of DRH Health Clinics 356739 0 53678 0 129364 0 40500 0 25869 0 606150 0 0 0 Roger Neal VP/COO 317209 0 58115 0 110251 0 36500 0 16464 0 538539 0 0 0 Kristen J Webb RN MSN VP/Chief Nursing Officer 243746 0 50500 0 164330 0 35192 0 25869 0 519637 0 0 0 Michelle Jenean Bivans VP/CHRO 247465 0 42057 0 37571 0 36381 0 17258 0 380732 0 0 0 John P Edgar President of JCH 151459 0 40267 0 44003 0 22984 0 16464 0 275177 0 0 0 Danny Giles MD Physician - Orthopedic Surgeon 1091250 0 0 0 4773 0 16500 0 33489 0 1146012 0 0 0 Juan Adrian Cornejo Physician - Gynecology Surgery 747466 0 0 0 1077 0 44250 0 24459 0 817252 0 0 0 Brenda Mullins MD Physician - Interventional Cardiology 747038 0 0 0 0 0 36500 0 8472 0 792010 0 0 0 Melissa Marie Hurst MD Physician - Family Practice 723126 0 0 0 421 0 36500 0 24459 0 784506 0 0 0 Jordan Blake Gibbon Clinic Physician 702180 0 0 0 374 0 36500 0 8019 0 747073 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees COUNTRY CLUB DUES ARE PAID BY THE CEO. THE DUES AND ANY EXPENSES INCURRED FOR THE HOSPITAL'S BENEFIT ARE REIMBURSED TO THE CEO BY THE HOSPITAL. THE MEMBERSHIP IS USED BY OTHER EMPLOYEES OF THE ORGANIZATION, INCLUDING THE PHYSICIAN RECRUITER. FOR THIS REASON, THE DUES ARE NOT INCLUDED IN THE CEO'S W-2 AS TAXABLE INCOME. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DESCRIBED IN 457(F): JAY JOHNSON - $20,000 DOUG VOLINSKI - $20,000 ROGER NEAL - $20,000 KRISTEN WEBB - $20,000 MICHELLE BIVANS - $19,881 MIGUEAL SABEDRA - $20,000 BRENDA MULLINS - $20,000 MELISSA HURST - $20,000 JOHN EDGAR - $14,365 JORDAN GIBBON - $20,000 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED DEFERRED COMPENSATION PLAN DESCRIBED IN 409(A): WILLIAM STEWART - $20,000 JUAN CORNEJO - $20,000 None of the participants have received payments in their W-2. The amounts listed above reflect payments in deferred Compensation. Schedule J, Part I, Line 7 Non-fixed payments SENIOR MANAGEMENT IS PAID VARIABLE COMPENSATION BASED UPON GOALS APPROVED BY THE GOVERNING BOARD ANNUALLY. THE GOALS VARY YEAR TO YEAR. THERE IS A FIXED PERCENTAGE SET AT THE BEGINNING OF THE YEAR WHEN THE GOALS ARE APPROVED. A PERCENTAGE OF THAT AMOUNT IS PAID BASED ON THE ACHIEVEMENT OF THOSE GOALS. A THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY 731083741 XXXXXXXXX 2020-11-01 25732000 REFINANCE SERIES 2013A & 2013B false false false B The Oklahoma Development Finance Authority 731083741 XXXXXXXXX 2018-11-15 15000000 Series 2018 - Health Facilities false false false A 1588023 25732000 25701189 30811 2021 true false true true B 394621 15000000 44046 14955954 2021 false false true true A false false true true false 0.0 false false true B false false true true false 0.0 false false true A false true false false false false false false true B false true false false false false false false true A true B true Stacie Elfrink Family of Board - Elfrink 604455 Salaries/Wages false Dr Christopher Herndon Family of Board - Elfrink 304805 Salaries/Wages false Form 990, Part VI, Line 16b WRITTEN POLICY TO EVALUATE PARTICIPATION IN JOINT VENTURES ALTHOUGH THE HOSPITAL DOES NOT HAVE A WRITTEN POLICY, ALL POTENTIAL JOINT VENTURES ARE REVIEWED AND EVALUATED BY THE BOARD OF DIRECTORS ON A CASE BY CASE BASIS. THE HOSPITAL DOES NOT ENTER INTO A JOINT VENTURE WITHOUT THE BOARD'S APPROVAL. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE BOARD DELEGATES DECISIONS FOR REVIEW AND APPROVAL OF COMPENSATION PACKAGES TO A SUBCOMMITTEE OF THE BOARD. THE COMPENSATION COMMITTEE CONSISTS OF NO LESS THAN THREE INDEPENDENT DIRECTORS, APPOINTED BY THE BOARD ON THE RECOMMENDATION OF THE NOMINATING/GOVERNANCE COMMITTEE. THE BOARD SHALL APPOINT ONE MEMBER OF THE COMPENSATION COMMITTEE AS ITS CHAIR. THE BOARD MAY REPLACE COMPENSATION COMMITTEE MEMBERS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM AND REVIEWED INTERNALLY BY MANAGEMENT. PRIOR TO FILING, COPIES OF THE 990 WERE DISTRIBUTED TO BOARD MEMBERS AT A BOARD MEETING. TIME WAS PROVIDED FOR REVIEW AND QUESTIONS AT THE MEETING. BOARD MEMBERS WERE OFFERED COPIES TO TAKE WITH THEM AFTER THE MEETING. THE 990 IS ALSO UPLOADED TO A BOARD PORTAL FOR REVIEW YEAR-ROUND. Form 990, Part VI, Line 12c Conflict of interest policy BOARD MEMBERS, OFFICERS AND HIGHEST COMPENSATED EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. IF A BOARD MEMBER BELIEVES THAT HE OR SHE MAY HAVE A CONFLICT OF INTEREST, THEN THE CONFLICT SHOULD BE IMMEDIATELY DISCLOSED. THE BOARD MEMBER IS THEN TOLD TO LEAVE THE BOARD MEETING AND THE REMAINING BOARD DISCUSSES AND VOTES ON IF A CONFLICT OF INTEREST EXISTS. IF IT IS DECIDED THAT A CONFLICT EXISTS, THE AFFECTED BOARD MEMBER SHOULD ABSTAIN FROM ANY ACTION TO THE INTEREST AND SHOULD ABSENT HIMSELF OR HERSELF FROM ANY PORTION OF ANY PROCEEDINGS AT WHICH ACTION IS CONSIDERED OR TAKEN REGARDING THE INTEREST. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE BOARD OF DIRECTORS APPOINTS THE COMPENSATION COMMITTEE TO DISCHARGE THE BOARD'S RESPONSIBILITIES RELATING TO COMPENSATION OF THE HOSPITAL'S EXECUTIVE OFFICERS AND OTHER INDIVIDUALS DEFINED AS DISQUALIFIED PERSONS UNDER THE INTERNAL REVENUE CODE. THE COMPENSATION COMMITTEE ESTABLISHES THE COMPENSATION AND BENEFIT ARRANGEMENTS PROVIDED TO THE EXECUTIVE OFFICERS OF THE HOSPITAL. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE ANNUAL BASE SALARY, THE ANNUAL INCENTIVE COMPENSATION AND OTHER BENEFITS OFFERED OR PAID TO THE EXECUTIVE MANAGEMENT OF THE HOSPITAL. THE COMPENSATION COMMITTEE OF THE BOARD SETS THE CEO'S SALARY. THEY RELY HEAVILY ON SALARY SURVEY DATA AND RECOMMENDATIONS FROM A NATIONAL CONSULTING FIRM. REVIEWS ARE CONDUCTED IN SEPTEMBER OR OCTOBER OF EACH YEAR AND DOCUMENTED IN THE COMMITTEE'S MEETING MINUTES. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE BOARD OF DIRECTORS APPOINTS THE COMPENSATION COMMITTEE TO DISCHARGE THE BOARD'S RESPONSIBILITIES RELATING TO COMPENSATION OF THE HOSPITAL'S EXECUTIVE OFFICERS AND OTHER INDIVIDUALS DEFINED AS DISQUALIFIED PERSONS UNDER THE INTERNAL REVENUE CODE. THE COMPENSATION COMMITTEE ESTABLISHES THE COMPENSATION AND BENEFIT ARRANGEMENTS PROVIDED TO THE EXECUTIVE OFFICERS OF THE HOSPITAL. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE ANNUAL BASE SALARY, THE ANNUAL INCENTIVE COMPENSATION AND OTHER BENEFITS OFFERED OR PAID TO THE EXECUTIVE MANAGEMENT OF THE HOSPITAL. THE COMPENSATION COMMITTEE OF THE BOARD SETS THE CEO'S SALARY. THEY RELY HEAVILY ON SALARY SURVEY DATA AND RECOMMENDATIONS FROM A NATIONAL CONSULTING FIRM. REVIEWS ARE CONDUCTED IN SEPTEMBER OR OCTOBER OF EACH YEAR AND DOCUMENTED IN THE COMMITTEE'S MEETING MINUTES. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. Form 990, Part VIII, Line 2f Other Program Service Revenue Other Program Revemue - Total Revenue: 1785289, Related or Exempt Function Revenue: 1785289, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Revenue - Total Revenue: 1166, Related or Exempt Function Revenue: 1166, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Purchased Services - Total Expense: 16334130, Program Service Expense: 14435706, Management and General Expenses: 1898424, Fundraising Expenses: ; Professional Fees - Total Expense: 5912067, Program Service Expense: 5224941, Management and General Expenses: 687126, Fundraising Expenses: ; Collection Services - Total Expense: 1121657, Program Service Expense: 991293, Management and General Expenses: 130364, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY EXPENSE - ADVANCED MEDICAL SUPPLY - -597884; INTERCOMPANY EXPENSE - SOLUTIONS - -1061610; OTHER CHANGES - 1078366; SOLUTIONS PHYS PRACTICE MGMT 2210 DUNCAN REGIONAL LOOP ROAD DUNCAN OK 73533 260618405 PRACTICE MANGEMENT OK 7766883 -29676294 DRH ADVANCED MEDICAL SUPPLY LLC 1503 NORTH HIGHWAY 81 SUITE A DUNCAN OK 73533 731539867 DME OK 1331500 -319885 DRH DUNCAN HEALTH PARTNERS LLC 1407 WHISENANT DR DUNCAN OK 73533 464527302 HEALTHCARE OK 23003 53755 DRH DRH IMAGING LLC 1407 WHISENANT DRIVE DUNCAN OK 73534 208849754 RADIOLOGY SVC OK DRH Related 2819350 585143 false 0 false 0.8121 Star Pharmacy Inc 2340 West Elk Avenue Suite 10 Duncan OK 73533 731420941 Pharmacy OK DRH S Corporation 9606 812332 1 true false false false false false false false false false false false false false false false false false false true DRH IMAGING LLC S 3200000 CASH